Overview of improving tolerance of long-term mechanical ventilation.

abstract：:Telestroke and teleneurologic intensive care units (teleneuro-ICUs) optimize the diagnosis and treatment of neurologic emergencies. Establishment of a telestroke or teleneuro-ICU program relies on investment in experienced stroke and neurocritical care personnel as well as advanced telecommunications technologies. Tel...

journal_title：Critical care clinics

authors： Klein KE,Rasmussen PA,Winners SL,Frontera JA

更新日期：2015-04-01 00:00:00

abstract：:As the geriatric population in the United States increases and better management of chronic diseases improves survival, more elderly will become critically ill and potentially require treatment in an intensive care unit (ICU). Dan Callahan has written, "... we will live longer lives, be better sustained by medical car...

journal_title：Critical care clinics

authors： Mularski RA,Osborne ML

更新日期：2003-10-01 00:00:00

abstract：:The evolving understanding of pathophysiologic events during and after pediatric cardiac arrest has not yet resulted in significantly improved outcome. Exciting breakthroughs in basic and applied science laboratories are, however, on the immediate horizon for study in specific subpopulations of cardiac arrest victims....

journal_title：Critical care clinics

authors： Morris MC,Nadkarni VM

更新日期：2003-07-01 00:00:00

abstract：:Dementia is a terminal illness that leads to progressive cognitive and functional decline. As the elderly population grows, the incidence of dementia in hospitalized older adults increases and is associated with poor short-term and long-term outcomes. Delirium is associated with an accelerated cognitive decline in hos...

journal_title：Critical care clinics

authors： Ghneim M,Diaz JJ Jr

更新日期：2021-01-01 00:00:00

abstract：:Providing nutritional support has become a standard component of managing critically ill patients. While many studies have documented that providing nutritional support can change nutritional outcomes (e.g., amino acid profile, weight gain, nitrogen balance), data are lacking that demonstrate that nutrition actually i...

journal_title：Critical care clinics

authors： Heyland DK

更新日期：1998-07-01 00:00:00

abstract：:This article provides an overview of some of the current issues involved in sedation and anxiolysis in the intensive care unit. The problems involved in trying to monitor sedation levels are discussed, as are some of the newer options available for physiologic monitoring of the central nervous system. The problem of a...

journal_title：Critical care clinics

authors： Lowson SM,Sawh S

更新日期：1999-01-01 00:00:00

abstract：:The consequences of acute and chronic drug abuse pose significant problems for physicians managing the trauma victim in the resuscitative, perioperative, intensive care, and hospitalization periods. Substance abuse, whether acute or chronic, modifies the physiologic response to injury and to resuscitative and operativ...

journal_title：Critical care clinics

authors： Milzman DP,Soderstrom CA

更新日期：1994-07-01 00:00:00

abstract：:In pediatric trauma care, many long-held tenets of management have been revised. This article reviews the latest advances in pediatric trauma care, particularly in the areas of resuscitation and management of thoracic and abdominal injuries. The final topic is a discussion of what the intensivist and surgeon must know...

journal_title：Critical care clinics

authors： Garcia VF,Brown RL

更新日期：2003-07-01 00:00:00

abstract：:Prolonged intubation and mechanical ventilation following cardiac surgery have been associated with increased hospital and intensive care unit length of stays; higher health care costs; and morbidity resulting from atelectasis, intrapulmonary shunting, and pneumonia. Early extubation was developed as a strategy in the...

journal_title：Critical care clinics

authors： McCarthy C,Fletcher N

更新日期：2020-10-01 00:00:00

abstract：:Critically ill cancer patients have a higher incidence of acute kidney injury treated with renal replacement therapy than critically ill patients without cancer. Acute kidney injury may occur as a direct or indirect consequence of the cancer itself, its treatment, or associated complications. Several recent studies ha...

journal_title：Critical care clinics

authors： Benoit DD,Hoste EA

更新日期：2010-01-01 00:00:00

abstract：:Chemical agents of warfare are divided into lung agents, blood agents, vesicants, and nerve agents. Intensivists must familiarize themselves with the clinical presentation and management principles in the event of a chemical attack. Key principles in management include aggressive supportive care and early administrati...

journal_title：Critical care clinics

authors： Mishra R,Geiling J

更新日期：2019-10-01 00:00:00

abstract：:Cardiopulmonary arrest during pregnancy is a rare event that critical care clinicians must be prepared to manage. The causes of cardiopulmonary arrest during pregnancy, recommended modifications to cardiopulmonary resuscitation protocols that are specific to pregnancy, indications for and timing of perimortem cesarean...

journal_title：Critical care clinics

authors： Mallampalli A,Powner DJ,Gardner MO

更新日期：2004-10-01 00:00:00

abstract：:Although our understanding of molecular events in septic shock is growing exponentially, bedside management has changed only incrementally over the last 20 years. In pediatric and adult patients alike, treatment continues to be largely supportive. Morbidity and mortality, though gradually improving, continue to be hig...

journal_title：Critical care clinics

authors： Carcillo JA,Cunnion RE

更新日期：1997-07-01 00:00:00

abstract：:The burned child requires a management that is different from that employed in the burned adult because of physiologic and psychological dissimilarities, although basic principles of management are the same. Particular problems and treatment of the burned child are highlighted. ...

journal_title：Critical care clinics

authors： Solomon JR

更新日期：1985-03-01 00:00:00

abstract：:The optimal management of arterial blood pressure in the setting of acute stroke has not been firmly defined. The different types of stroke--ischemic, intracerebral hemorrhage, and subarachnoid hemorrhage--have different pathophysiologies and require different approaches in terms of blood pressure management in the ac...

journal_title：Critical care clinics

authors： Urrutia VC,Wityk RJ

更新日期：2006-10-01 00:00:00

abstract：:Despite great improvement in patient and graft survival, the long-term morbidity and mortality in renal transplant recipients are still significant. Cardiovascular disease accounts for much of the mortality in long-term survivors; screening before the transplant procedure and adequate control of hypertension should he...

journal_title：Critical care clinics

authors： Fabrega AJ,Lopez-Boado M,Gonzalez S

更新日期：1990-10-01 00:00:00

abstract：:Caring for the new quadriplegic is an immense undertaking involving multiple health care professionals who must function as a team. The physician in charge must understand rehabilitation principles and be able to communicate with all members of the team caring for the patient. Rehabilitation principles, if considered ...

journal_title：Critical care clinics

authors： Keppler JP

更新日期：1987-07-01 00:00:00

abstract：:Arterial catheterization is used frequently in the management of critically ill patients, both for continuous blood pressure monitoring and access to the arterial circulation to obtain frequent blood gas measurements. The procedure is usually easily accomplished at the bedside using percutaneous methods such as the Se...

journal_title：Critical care clinics

authors： Clark VL,Kruse JA

更新日期：1992-10-01 00:00:00

abstract：:Extracorporeal life support is a modified form of cardiopulmonary bypass. Experience in extracorporeal membrane oxygenation (ECMO) has come largely from the neonatal population. Most centers have transitioned the ECMO pumps from roller pumps to centrifugal technology. Modes of support include venovenous for respirator...

journal_title：Critical care clinics

authors： Jenks CL,Raman L,Dalton HJ

更新日期：2017-10-01 00:00:00

abstract：:The years that have passed since the introduction of the pulmonary artery catheter have been marked by radical changes in the practice of general and critical care medicine. There has been an increase in the application of physiologic principles to the management of shock states, myocardial infarction, and respiratory...

journal_title：Critical care clinics

authors： Ginosar Y,Sprung CL

更新日期：1996-10-01 00:00:00

abstract：:The leukotrienes are a group of biologically active products of arachidonic acid metabolism that have been demonstrated to possess the capability to alter vascular reactivity as well as vascular permeability when applied topically to tissues or infused into the vascular bed of various organs. These biologic effects of...

journal_title：Critical care clinics

authors： Sprague RS,Stephenson AH,Dahms TE,Lonigro AJ

更新日期：1989-04-01 00:00:00

abstract：:Approximately 12,000 Americans suffer traumatic spinal cord injuries each year. This article discusses the management of their neurologic, respiratory, cardiovascular, gastroenterologic, and genitourinary complications in the critical care setting. ...

journal_title：Critical care clinics

authors： McVicar JP,Luce JM

更新日期：1986-10-01 00:00:00

abstract：:In July 2001, the United States Joint Commission on Accreditation of Health care Organizations adopted a new leadership standard that requires department heads in health care organizations to perform at least one Failure Mode and Effects Analysis (FMEA) every year. This proactive approach to error prevention has prove...

journal_title：Critical care clinics

authors： Duwe B,Fuchs BD,Hansen-Flaschen J

更新日期：2005-01-01 00:00:00

abstract：:The primary uses of FFB in the intensive care unit are in the diagnosis of opportunistic infection and for airway management. In addition, use of PTC brush or BAL with quantitative cultures may allow identification of the specific cause of bacterial pneumonia. Determination of the location and cause of pulmonary hemor...

journal_title：Critical care clinics

authors： Dellinger RP,Bandi V

更新日期：1992-10-01 00:00:00

abstract：:Venous thromboembolic disease is a very common complication in the ICU. This article reviews incidence, prevention, and therapy related to venous thromboembolism, including both deep venous thrombosis and pulmonary embolism. Special diagnostic and treatment considerations in the ICU setting are highlighted. The increa...

journal_title：Critical care clinics

authors： DeLoughery TG

更新日期：2005-07-01 00:00:00

abstract：:The thermal-dye technique for the measurement of ELW is available for clinical and experimental use. This method is safe and can be performed serially in an individual patient. Although it is invasive, it requires only a central venous catheter and an arterial catheter, which are often already in place for routine hem...

journal_title：Critical care clinics

authors： Sivak ED,Wiedemann HP

更新日期：1986-07-01 00:00:00

abstract：:Vancomycin-resistant enterococci (VRE) consist mainly of Enterococcus faecalis and E faecium, the latter mostly hospital-acquired. In addition, E gallinarum and E casseliflavus are intrinsically vancomycin-resistant and are community-acquired. VRE have become common in many hospitals throughout the world and, once est...

journal_title：Critical care clinics

authors： Rubinstein E,Keynan Y

更新日期：2013-10-01 00:00:00

abstract：:Measuring cardiac output without knowledge of the oxygen extraction by the tissues is of limited value. Instead of calculating oxygen consumption and oxygen delivery, a diagram relating cardiac index to the oxygen extraction ratio is proposed to interpret hemodynamic data at the bedside. This diagram is particularly h...

journal_title：Critical care clinics

authors： Vincent JL

更新日期：1996-10-01 00:00:00

abstract：:Electronic medical records can be used to mine clinical data (big data), providing automated analysis during patient care. This article describes the source and potential impact of big data analysis on risk stratification and early detection of deterioration. It compares use of big data analysis with existing methods ...

journal_title：Critical care clinics

authors： Wong Lama KM,DeVita MA

更新日期：2018-04-01 00:00:00

abstract：:Ethically charged situations are common in pediatric critical care. Most situations can be managed with minimal controversy within the medical team or between the team and patients/families. Familiarity with institutional resources, such as hospital ethics committees, and national guidelines, such as publications from...

journal_title：Critical care clinics

authors： Orioles A,Morrison WE

更新日期：2013-04-01 00:00:00